Average Medicaid Office Visit Payments in Elk Grove, CA: $36.01
Avg. Paid
$36.01
Range
$0.00 – $1,139
Total Claims
287,299
Providers
183
Typical Payment Range
Typical Medicaid Office Visit payments fall between $29.28 and $67.92 per claim (median: $46.55). The top 10% of payments exceed $95.29.
Based on per-provider averages across all Medicaid claims in this category.
A standard doctor's office visit for evaluation and management of medical conditions. Includes new patient visits, follow-up visits, and consultations.
Understanding these costs
The amounts shown are Medicaid reimbursement rates — what state Medicaid programs paid providers per claim. Medicaid typically pays well below private insurance rates and out-of-pocket prices. Use this data to compare relative costs between providers, not as a price estimate for privately insured or self-pay patients.
Providers Offering Office Visit in Elk Grove, CA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Radhika Nandur Bukkapatnam
8110 Laguna Blvd |
$4.90 | 12 | 12 |
|
Nina Kaur Khangura
8220 Wymark Dr |
$0.00 | 12 | 12 |
|
Susan Wong
9201 Big Horn Blvd |
$0.00 | 13 | 12 |
|
Chethana Eswarappa
8110 Laguna Blvd |
$26.89 | 13 | 12 |
|
Elizabeth Talley
8170 Laguna Blvd Ste 215 |
$9.93 | 13 | 13 |
|
Ajay Nilkanth Ranade
8220 Wymark Dr |
$25.30 | 13 | 12 |
|
Sarah Alayne Timberman
8220 Wymark Dr Ste 200 |
$0.00 | 13 | 13 |
|
Nkechi Akudo Nzerem-Johnson
Dignity Health Medical Plaza |
$66.29 | 13 | 13 |
|
Melissa Christine Lao
9394 Big Horn Blvd |
$38.36 | 13 | 13 |
|
Aieska De Souza
8220 Wymark Dr |
$34.38 | 13 | 12 |
|
Catharine Malmsten
9394 Big Horn Blvd |
$21.26 | 14 | 14 |
|
Elizabeth Garamendi Kann
8170 Laguna Blvd |
$65.44 | 14 | 13 |
|
Sara Helena Bonilla-Larsen
8170 Laguna Blvd Ste 220 |
$0.00 | 14 | 12 |
|
Parul Patel
8110 Laguna Blvd |
$84.33 | 15 | 15 |
|
Francisco J Prieto
8170 Laguna Blvd |
$12.79 | 16 | 16 |
|
Nichole Michelle Renschler
8170 Laguna Blvd Ste 114 |
$19.31 | 16 | 16 |
|
Harrold Navea
9291 Laguna Springs Dr |
$4.36 | 18 | 18 |
|
Rosalie Anja Perrot
8170 Laguna Blvd Ste 210 |
$49.92 | 19 | 18 |
|
Alok Banga
9303 Laguna Springs Dr Ste 110 |
$22.41 | 19 | 17 |
|
Sacramento Urgent Care
9045 Bruceville Rd |
$0.00 | 20 | 18 |
|
Joshua Wormley
8170 Laguna Blvd |
$37.81 | 22 | 19 |
|
Christopher Ryan Young
8110 Laguna Blvd |
$0.00 | 24 | 24 |
|
Christine M. Jang
9201 Big Horn Blvd |
$0.00 | 24 | 24 |
|
Azadeh Toofaninejad
9394 Big Horn Blvd |
$64.00 | 26 | 24 |
|
George Y Hisatomi
8170 Laguna Blvd |
$25.96 | 26 | 25 |
|
Daniel Alexander Herrador
8110 Laguna Blvd |
$12.78 | 27 | 27 |
|
Thomas Andrew Valdez
9394 Big Horn Blvd |
$3.55 | 27 | 26 |
|
Julia T Tian
9394 Big Horn Blvd |
$11.10 | 27 | 27 |
|
Jenifer Burkhalter
8170 Laguna Blvd Ste 304 |
$40.37 | 28 | 24 |
|
Luu P. Nguyen
9201 Big Horn Blvd |
$0.00 | 29 | 27 |
|
Vinh Luu
8110 Laguna Blvd |
$22.47 | 29 | 29 |
|
Catherine Mane Bulaong
9245 Laguna Springs Dr Ste 200 |
$7.29 | 31 | 28 |
|
James B Garrett
8170 Laguna Blvd |
$28.86 | 31 | 28 |
|
Eileen Jiang
8170 Laguna Blvd Ste 210 |
$210.87 | 33 | 33 |
|
Thomas N Atkins
8170 Laguna Blvd |
$41.53 | 36 | 32 |
|
Shaunye Monique Belcher
8220 Wymark Dr Ste 200 |
$51.26 | 38 | 36 |
|
Richard Newton Gray,
California Department Of Corrections And Rehabilitation |
$16.67 | 38 | 38 |
|
John Gregory Bias
8110 Laguna Blvd |
$0.00 | 38 | 21 |
|
Alison L Juozokas
8170 Laguna Blvd |
$50.92 | 39 | 36 |
|
Jenny Vi Nguyen
9045 Bruceville Rd Ste 100 |
$3.02 | 39 | 38 |
|
Bradley K Sherwood
8170 Laguna Blvd |
$52.83 | 40 | 39 |
|
Joel Marcel Mariano
8220 Wymark Dr Ste 200 |
$0.00 | 44 | 44 |
|
Gaurav Datta
7510 Fortaleza Ave |
$7.05 | 47 | 42 |
|
Desmond T.Y. Tan
9201 Big Horn Blvd |
$36.06 | 49 | 46 |
|
Jude T Waterbury
2382 Maritime Dr Ste 100 |
$2.19 | 51 | 49 |
|
Kenneth H. Cheung
8220 Wymark Dr Ste 200 |
$30.88 | 53 | 53 |
|
Wendy W. Lin
9394 Big Horn Blvd |
$18.00 | 56 | 55 |
|
Chirag Patel
9045 Bruceville Rd Ste 100 |
$12.06 | 57 | 57 |
|
Ehsan Sultani
9381 E Stockton Blvd Ste 220 |
$34.01 | 59 | 54 |
|
Shuhan He
9045 Bruceville Rd |
$86.58 | 59 | 56 |
What to Expect: Office Visit
A typical office visit lasts 15-45 minutes depending on complexity. Your doctor will review your medical history, discuss symptoms, perform a physical exam, and discuss treatment options. You may receive prescriptions, referrals, or orders for diagnostic tests. Follow-up visits are usually shorter than new patient visits.
Cost Components
National average Medicaid payment per billing code. Individual rates vary by provider and state.
| Code | Description | Avg. Paid | Claims | Providers |
|---|---|---|---|---|
| 99213 | Office visit established mod | $43.18 | 764,306,590 | 487,602 |
| 99214 | Office visit established mod-hi | $59.53 | 502,480,931 | 466,856 |
| 99212 | Office visit established low | $41.69 | 92,299,154 | 127,462 |
| 99203 | Office visit new moderate | $67.55 | 47,756,882 | 127,334 |
| 99211 | Office visit established minor | $39.24 | 44,127,221 | 47,748 |
| 99204 | Office visit new moderate-high | $92.03 | 32,379,031 | 111,937 |
| 99215 | Office visit established high | $93.58 | 29,619,773 | 74,725 |
| 99202 | Office visit new low | $58.57 | 9,372,712 | 35,486 |
| 99205 | Office visit new high | $136.10 | 3,665,382 | 19,737 |
| 99244 | Office consultation mod-high | $118.25 | 3,405,681 | 11,884 |
| 99243 | Office consultation moderate | $78.55 | 2,585,480 | 8,432 |
| 99245 | Office consultation high | $132.29 | 645,300 | 3,046 |
| 99242 | Office consultation low | $58.27 | 483,445 | 1,980 |
| 99241 | Office consultation brief | $66.15 | 295,664 | 712 |
These are national Medicaid averages for each billing code. Actual amounts vary by state, provider, and complexity.
Frequently Asked Questions
How much does a Office Visit cost in Elk Grove, CA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Elk Grove, CA is $36.01 per claim, based on 287,299 claims from 183 providers. Typical payments fall between $29.28 and $67.92. Note: Medicaid rates are typically much lower than private insurance or self-pay prices.
How many providers offer Office Visit in Elk Grove, CA?
There are 183 Medicaid providers offering Office Visit related services in Elk Grove, CA according to public payment data.
What is the price range for Office Visit in Elk Grove, CA?
Medicaid reimbursement for Office Visit in Elk Grove, CA ranges from $0.00 to $1,139 per claim, with an average of $36.01. Private insurance and self-pay costs are typically higher than these Medicaid rates.
Office Visit in Other Cities
Brooklyn, NY
Avg $71.20
32,336,840 claims · 5588 providers
New York, NY
Avg $81.86
23,551,154 claims · 7530 providers
Los Angeles, CA
Avg $24.20
16,948,065 claims · 5565 providers
Chicago, IL
Avg $30.31
13,989,780 claims · 5801 providers
Bronx, NY
Avg $82.40
13,626,712 claims · 3705 providers
Phoenix, AZ
Avg $47.53
13,269,420 claims · 4233 providers
Houston, TX
Avg $48.27
8,766,644 claims · 4540 providers
Las Vegas, NV
Avg $54.47
8,578,324 claims · 3512 providers
Other Procedures in Elk Grove, CA
Non-Emergency Medical Transportation
Avg $78.29
281,021 claims
Dental Cleaning & Exam
Avg $44.01
249,747 claims
Case Management Services
Avg $107.50
124,694 claims
Vaccines & Immunizations
Avg $3.00
90,196 claims
Behavioral & Mental Health Therapy
Avg $217.28
89,814 claims
Ambulance Transport
Avg $128.40
64,111 claims
Eye Exam
Avg $16.79
50,915 claims
Psychiatric Evaluation
Avg $122.08
46,893 claims